Individual
DR. KERRY THOMAS HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10710 GATEWAY BLVD N, STE B-10, EL PASO, TX 79924-1739
(915) 821-6800
(915) 822-8282
Mailing address
10816 LOMA DE VIDA LN, EL PASO, TX 79934-3780
(915) 241-2030
(915) 822-8282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5632TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81274Q
BLUE CROSS
TX
Enumeration date
12/11/2006
Last updated
07/08/2007
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